HIV/AIDS Programmes in Crisis as U.S. Funding Cuts Hit Africa Hard

Funding cuts from the U.S. have disrupted HIV/AIDS programmes in South Africa and Mozambique. Aid workers in both nations continue their efforts despite unpaid wages or reduced salaries. The changes follow a broader shift in U.S. foreign assistance since 2017. The U.S. once played a key role in fighting HIV/AIDS in sub-Saharan Africa. Through PEPFAR, it helped save 26 million lives since 2003. But nearly all foreign aid has now been paused, cut, or restructured under President Trump’s administration.

South Africa, where 17% of the population lives with HIV, has seen little U.S. support recently. The number of community health workers has dropped sharply. Marginalised groups now struggle to access preventative care, leaving many at risk. In Mozambique, the situation is equally severe. Gaza Province reports one in five adults living with HIV. The DREAMS programme, which supports young women and girls, faced major cuts. Yet workers persist, even without full pay. Experts warn the full impact of these reductions remains unclear. Without steady funding, the progress made over decades could unravel.

Both countries show resilience as aid workers carry on despite financial strain. The long-term effects of these funding changes, however, may take years to measure. For now, vulnerable communities face growing uncertainty in accessing vital HIV services.